Come Play, STL is a pediatric mental health center

Exists to serve children and families in St. Louis through a holistic, non-medicated approach, utilizing a multidisciplinary team of medical professionals.  We currently serve children of all ages, ranging from infants to age 17.  The children we have treated, and whom we are currently treating, come to us with a variety of challenges.  This includes, but is not limited to, Anxiety, Bipolar, Sensory Processing Disorder, Depression, Autism Spectrum Disorder, Obsessive Compulsive Disorder (OCD), struggles with attachment, a challenging transition in life, or various learning disabilities.

As we seek to best understand a child who has many dimensions, we find it is most helpful to get a well-rounded picture of how they were developed.  We do this currently via an initial comprehensive assessment by a Play Therapist, Occupational Therapist and School Psychological Examiner.  


Play Therapy Full Assessment: $400

Establish a baseline of the child through an evaluation of play with parent(s) or caregiver using a MIM assessment, as well as conducting a play-based family genogram.  Additional assessments will utilize free play to better understand what feelings live within them, their view of everyday life, and the goals that they have for this season of life.

Occupational Therapy Full Assessment: $350

An evaluation of fine motor, bilateral motor coordination, visual perception, ocular motor, muscle tone or strength, sensory processing, body awareness (proprioceptive sense), handwriting, gross motor and primitive reflexes.

Psychological Examination Full Assessment: $750

The evaluation process starts with the cognitive assessment to determine the child’s full-scale intelligence quotient, as well as other cognitive abilities including verbal comprehension, processing speed, working memory, fluid reasoning, and visual-spatial reasoning. Upon the completion of the cognitive test, a norm-referenced achievement test is then administered. Assessment of achievement is an integral part of assessment used to rule out or diagnose learning disabilities. If any further testing is warranted in any specific area(s), additional assessments will be administered.


Includes the Following: 

  • Initial 45 minute meeting with parent(s) or caregiver and clinical team member.

  • Review of information gathered from a child's parent(s) or caregiver, teacher, pediatrician and previous specialists that have diagnosed or treated child.

  • Play Therapy Full Assessment: $400

  • Occupational Therapy Full Assessment: $350

  • Psychological Examination Full Assessment: $750

  • 60-90 minute follow-up. The clinical team will sit down with parent(s) or caregiver to go over each assessment outcome and provide information detailing a child's strengths and potential areas for growth. At that time, the parent(s) or caregiver will be given a potential diagnosis and treatment goals, so that we can work together to come up with a plan that will best suit the child and family.

Expect the assessment phase to be spread over 2-4 weeks.  During that time, the child will visit Come Play, STL 1-2 times a week for approximately 2-3 hours each visit.  This can be flexible, as the length of each visit is dependent on how often the child may need breaks, and how long he or she can maintain focus.  Almost all of our children enjoy the assessments and are able to stay alert and focused, even looking forward to more.  On occasion, member of the clinical team will also observe the child either at school or in their home environment.  


Play Therapy: $90/45 min session

Occupational Therapy: $85/45 min session

Attend Individual Educational Plan Meeting or other outside meetings: $75/meeting



45 Minute Sessions, 1-2x / Week

35-40 Minutes: Child and Therapist meet identified goals

5-10 Minutes: Parent or Caregiver review exercises to help at home

Every 6 Sessions: Parent or Caregiver meets with their specialist to review goals and future plans

Throughout this time, with permission, Come Play, STL will relay information to a child's teacher, caregivers, additional family members and other professionals who are a part of the child's everyday life.  This is to ensure that all aspects of a child's world are coordinated, and we all say the same things so as to not confuse the child.  The clinical team will also seek weekly input from the child, parent(s) or caregiver, and teachers to better understand the child's growth, triggers, and behaviors, and to identify if goals are being met.

When the child starts to meet his or her goals, then visits can be reduced to every other week.  Thereafter, if the child continues to maintain growth, visits can be further reduced to once per month, and taper off from there.  To celebrate the child's wonderful achievement of meeting and obtaining their goals, Come Play, STL will conclude therapy with a celebratory party that the child will help plan.  

We believe "once a client, always a client."  We understand that there can be hiccups in developmental growth, and unforeseeable life changes may come along, causing your child to need a "check-up".  Therefore, we are here to serve you in those moments whether your child needs to meet with one of our clinicians, or simply to respond to an email or a phone call.


What is the value of obtaining treatment and not using insurance?
When you are worried about your child, you want to be able to see a specialist who understands the situation, is able to meet your specific needs, and is not restricted by insurance companies.  

There is great value in seeing a therapist that you choose based on factors outside of insurance plan participation. Families choose to work with us based on our specialty expertise, skills, training, experience and reputation. 

More and more families are finding advantages to not using their mental health insurance benefits, including not only high quality care that they choose, but greater privacy and a voice in the treatment process without the insurance company dictating what you can and can't do. It is these things that are important to us and the families with whom we work. However, if you are wanting your employer to cover your health services here, we do offer a couple options below.


  • Cash

  • Check

  • Credit Card

  • Health Savings Accounts (HSAs)

  • Flex Spending Accounts (FSAs)


For families who do not have out-of-network benefits OR any health insurance, we can provide a direct contract with your employer or union. On average our kids successfully graduate from our program within 6-12 months with consistent treatment. This cuts down on years of unnecessary medical spending and, with our transparent prices, saves your company thousands to tens of thousands of dollars.

To get started, just let us know the following:

1. The name and contact information of the person in charge of your company benefits.


For families who have health insurance plans, you can call your plan and ask if they cover out of network services. If they do, then we can help you get reimbursed more quickly. Each month we send your billing statement directly to your health insurance electronically. Your health insurance company generally takes less than 30 days to process this and send you money back.

To get started, just let us know the following:

  1. Send us a picture of your health insurance card, front and back. Let us know the date of birth who is the primary insured. We can check on your out of network benefits for you and help you plan on what you will likely spend.


If there are any problems with your health insurance paying you back, we have partnered with a billing advocacy app called BETTER that can work on your behalf. Many of our clients have spent HOURS on the phone with insurance and we didn’t want you to do that anymore. BETTER charges a 10% service fee of whatever money you make back. If you don’t make any money back, or the services are just put toward your deductible, their services are free.

Here's how it works:

  1. Download the iPhone app or, on your Android, just go to the web app to sign up

  2. Email them with your superbill attached to

  3. Better works with your insurance to get you paid

Find out more at


We are delighted to also offer services outside of one-on-one child therapy sessions.  Services that expand the knowledge of what we do and further the education within our fields of practice.

Licensed Clinical Social Work Supervision or Play Therapy Supervision: $60/hour

Child Case Consultation: $120/hour

Professional Training to Parent Groups, Educators, Pediatricians, Social Workers, and Counselors: Call or Email for customizable pricing.